Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.95 / $249.96 / $14,464.32	Facility		$101.95	$249.96	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $93.81 / $237.41	Professional		$68.20	$93.81	$237.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $139.79 / $1,128.49 / $2,159.90	Facility		$139.79	$1,128.49	$2,159.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $181.27 / $700.24	Professional		$83.68	$181.27	$700.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $126.17 / $249.46	Professional		$69.51	$126.17	$249.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $81.18 / $142.79 / $242.67	Facility		$81.18	$142.79	$242.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $142.79 / $238.61	Professional		$84.01	$142.79	$238.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $150.05 / $267.18	Professional		$27.01	$150.05	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.14 / $174.89 / $189.61	Facility		$108.14	$174.89	$189.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.12 / $124.12 / $129.33	Facility		$124.12	$124.12	$129.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $137.15 / $235.05	Professional		$77.62	$137.15	$235.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.19 / $1,128.49 / $2,159.90	Facility		$732.19	$1,128.49	$2,159.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $126.59 / $219.04	Professional		$73.92	$126.59	$219.04
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $152.93 / $272.27	Professional		$115.92	$152.93	$272.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $57.03 / $103.60	Professional		$57.03	$57.03	$103.60